Joyce fell and injured her hand two days ago. Her x-ray was normal but her hand is now swollen with reduced range of motion and grip strength. The physiotherapist examined her and found swelling and restricted movement in her middle finger and knuckle joints. The goals are to reduce pain and swelling and improve range of motion in the short term and regain full hand function in the long term through physiotherapy treatments including cryotherapy.

1. 5 th January 2011

3. Subjective & Objective Assessment Questions to ask Joyce Were you able to flex your fingers into a fist before the fall? Were you able to lift/hold objects (e.g. hook grip/princer grip etc) before the fall? If yes to both questions, have you ever had difficulty in performing the above?

11. Treatment 50% Ice, 50% Tap Water

12. Treatment Method of Application Ice immersion technique 20 mins

13. Home Programme/Exercises Exercises to increase ROM & Muscle Strength Ice bath for 20minutes at home

16. THE END